Provider Demographics
NPI:1366796641
Name:ASHAR, KINNARI JAISINH
Entity type:Individual
Prefix:
First Name:KINNARI
Middle Name:JAISINH
Last Name:ASHAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 NEW FIDELITY CT
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-2665
Mailing Address - Country:US
Mailing Address - Phone:919-258-2664
Mailing Address - Fax:410-648-4878
Practice Address - Street 1:10220 RIVER RD
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-4916
Practice Address - Country:US
Practice Address - Phone:301-299-0648
Practice Address - Fax:301-299-0649
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24367225100000X
IL070.0197592251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic